Conway Urology, Pa in Conway - Specialist

Conway Urology, Pa - NPI 1255358263

Conway Urology, Pa is a Specialist in Conway, Arkansas. Conway Urology, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Conway Urology, Pa is 1255358263. The last update date is 2011-11-21.

Conway Urology, Pa's current location address is 495 Hogan Lane, Conway, Arkansas. You can contact this provider via phone number 5013275850 and fax number 5013274910. The mailing address for Conway Urology, Pa is 495 Hogan Lane, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Conway Urology, Pa
Address 495 Hogan Lane, Conway, Arkansas
Phone Number 5013275850
Fax Number 5013274910
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Shirley Craig David
Credentials MD
Telephone Number 5013275850

NPI Number Detail

NPI Number 1255358263
Provider Enumeration Date 2006-07-16
Last Updated Date 2011-11-21

Provider Mailing Address Detail

Address 495 Hogan Lane
City Conway
State Arkansas (AR)
Post Code 72034
Phone Number 5013275850
Fax Number 5013274910

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MC-1601
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
113501-001 AR --
159254002 AR --

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FAQs about Conway Urology, Pa

What is the unique 10-digit identification code issued to Conway Urology, Pa by the Centers for Medicare & Medicaid Services?

The Conway Urology, Pa has been assigned the NPI (National Provider Identifier) 1255358263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Conway Urology, Pa?

The Conway Urology, Pa is physically situated at 495 Hogan Lane, in the city of Conway, state of AR, with the postal code 72034.

What is Conway Urology, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Conway Urology, Pa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

When did the Conway Urology, Pa receive its 1255358263?

The Conway Urology, Pa was issued its 1255358263 on 2006-07-16, which is the date when the organization was assigned this unique identifier.

As of what date were the Conway Urology, Pa's details last updated?

The information pertaining to the Conway Urology, Pa, including its address, specialty, and other details, was most recently updated on 2011-11-21.

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